Madamba, Carlos San Pedro

Madamba, Carlos San Pedro is an individual health care provider with primary practice located at 51 N 39Th St , Philadelphia PA 19104-2640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Madamba, Carlos San Pedro can be contacted via phone (856) 906-6273.

Contact Information

Primary practice address
51 N 39Th St Philadelphia PA 19104-2640
Phone: (856) 906-6273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 25MA05508600 New Jersey

Profile Details

NPI number 1811994866
LBN Legal business name Madamba, Carlos San Pedro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Sep 7th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811994866 NPPES
New Jersey MEDICAID 6042201

Popular Providers